California State Board of Optometry
Licensing details for: 4717
Name: GAITAN, DIANE WENDY
License Type: Registered Spectacle Lens Dispenser
Primary Status: Current

Address of Record
11950 Cohasset St
N HOLLYWOOD CA 91605-3104
LOS ANGELES county
Map
License Relationships
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: WAL-MART 5152
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6978 Primary Status: Current
Address :
6433 FALLBROOK AVENUE
WEST HILLS CA 91307
LOS ANGELES COUNTY
RDO to Registered Spectacle Lens Dispenser
License/Registration Role: Registered Spectacle Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: VISTA OPTICAL #7218
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6858 Primary Status: Cancelled
Address :
14480 SHERMAN WAY #B2A
VAN NUYS CA 91401
LOS ANGELES COUNTY



